Hormone therapy (HRT)

What HRT does and doesn't do — a clear, honest guide.

The Mirena IUD can be a surprisingly powerful tool in perimenopause — but only for some of what you're dealing with. Here's exactly what it does, what it can't do, and when combining it with estrogen makes sense.

Hormone replacement therapy is now widely available through telehealth. These seven providers are the most accessible, honest options — compared side by side on price, lab requirements, and who they serve best.

A bioidentical-HRT telehealth provider, reviewed.

Midi Health is a telehealth platform built specifically for women in perimenopause and menopause, offering hormone replacement therapy through insurance — with roughly 80% of PPO plans accepted and in-network copays as low as $0 per visit. It also offers a GLP-1 weight management program featuring compounded semaglutide, making it one of a handful of platforms that address both the hormonal and metabolic dimensions of midlife health in one place.

Veozah is not a supplement and not a hormone — it is a prescription medication with an actual clinical trial record. Here is what the evidence says about how well it works, what it costs, and when it makes sense.

Alloy combines Menopause Society–certified physicians, transparent pricing, and all-50-states coverage into one of the most accessible specialist menopause telehealth options available. Here is the complete picture.

The HRT Club solves a specific problem: making already-prescribed HRT medications dramatically cheaper. It is not a clinical service. That distinction matters — and once you understand it, you can decide quickly whether it fits your situation.

Fountain stands out in telehealth HRT for its genuinely all-inclusive pricing — labs, visits, and medications in one fee — and for including testosterone in its higher-tier plan without a separate charge. Here is what that means in practice, what the trade-offs are, and who it makes most sense for.

Inner Balance offers one of the lowest ongoing HRT prices in telehealth once past the initial six months, with a vaginal estrogen cream included that most competitors charge separately for. The honest picture: very limited patient reviews mean this platform is genuinely harder to assess than more established competitors.